Individual
CARTER JAMES LILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2100 MILLER PARK WAY, WEST MILWAUKEE, WI 53219-1641
(414) 645-4540
Mailing address
8428 W BECHER ST, WEST ALLIS, WI 53227-1722
(712) 560-2802
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6001653-15
WI
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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